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Many people report upset stomach and diarrhea after consuming normal amounts of erythritol in food or beverages. If consumption is high (50 grams or more per day) then digestive troubles, including gas, cramping, bloating, stomachache and diarrhea, become even more likely. One study specifically showed that the intake of 50 grams of erythritol causes stomach rumbling and nausea.
Rotavirus is a common cause of diarrhea in infants. Norovirus (for example, Norwalk virus, caliciviruses) is the most common cause of epidemics of diarrhea among adults and school-age children (for example, cruise ship infection, schools, nursing homes, day care facilities, and restaurants). Adenovirus infections are common in all age groups.